Medicare Compliance & Reimbursement

Medicare Regulations:
Medicare Part B Covers a Separate Cognitive Assessment Visit
Question: We have a few patients that are complaining about mental decline. I thought I sa... Read more
Compliance:
Use These Strategies to Align Your CDI and Coding Teams
Hint: Compliance programs offer built-in structures you can use. Moving from siloed to co... Read more
Compliance:
Know Difference Between Documentation Amendment and Addendum
Question: Why can't a provider “unsign” a medical record, and then go back in and chan... Read more
Medicare Regulations:
Know Actual ‘Housebound’ Definition
Question: The providers I work for see a lot of elderly Medicare beneficiaries who rarely ... Read more
Medicare Regulations:
Get a Handle on the 2 MPFS Conversion Factors in 2026
Revenue cycle management teams should expect ongoing payment differences between QP and no... Read more
Compliance:
Don’t Bill Incident to in Avoidance of Sanctions
Question: There's a doctor who recently joined our practice from out of state and is havin... Read more
Medicare Regulations:
Fight Back Against Parenteral Nutrition Claim Denials
Don't let parenteral nutrition claims tank your patient care, compliance, or revenue cycle... Read more
Medicare Regulations:
Don’t Use Q6 for Global Services or Fees
Question: I work for a surgical practice, and one of our providers is going out for a surg... Read more
Compliance:
Look to Location-Specific Guidance for These Documentation Attestations
Question: How much time does a physician have to make an attestation for documentation tha... Read more
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